Active NPI
HCC of Magnolia LLC
- Hospitalist Physician
- Magnolia, AR
National Provider Identifier
1831865872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- HCC OF MAGNOLIA LLC
- Practice address
- 101 Hospital Dr
Magnolia, AR 71753-2415 - Phone
- (870) 235-3000
- NPI assigned
- Aug 19, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ron Weiss
- Title
- Ceo
- Phone
- (866) 931-8882
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 102
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210917000064 | AR | Part B Supplier - Clinic/Group Practice | 3779980750 |
Receives reassigned benefits from 102 practitioners Practice locations: Magnolia, AR |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Hospital Dr
Magnolia, AR 71753-2415
Mailing address
17304 Preston Rd Ste 1400
Dallas, TX 75252-5633
Phone (866) 931-8882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2021.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1831865872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17304 PRESTON RD STE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525633",
"telephone_number": "866-931-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL DR",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532415",
"telephone_number": "870-235-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCC OF MAGNOLIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-931-8882"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.